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Last modified
7/8/2017 6:44:09 PM
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7/3/2017 5:44:48 PM
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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE <br />No..9=39? .................... <br />...................... Hall .............................. County, Nebraska <br />Name .....Carrie....Gu.nnarso....n .................................................................................................. <br />.. ........ .... ........... .... <br />Age....... 67 ...... Address.J14..1 .... 6th, Grand Ieland, Nebr. <br />...................................................................................... <br />Amount $ .R...ejected ...... 1.6...40 ................ $................................ <br />...................... Modified Amount $..... .. . .... I <br />Date........... J ... kz ..................... 19 ... 3.7 <br />This is a true copy of Certificate originally <br />issued. <br />.................. N1J.J.A...VgkiA%x.q <br />.v.r ................. <br />Director of Assistance TJ— <br />............................................... .............. <br />. Director of Assistance I Signature of Applicant, Nezt Friend or Guardian <br />
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